WAI POK VERNON CHAN

BLOOMINGTON, IN
NPI1003301805
Professional NameVERNON CHAN
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: IN  02006775A)
Additional Taxonomies207R00000X Internal Medicine
(Licence: PA  OT018804)
Enumeration Date2018-06-25
Last Update Date2022-07-25
Business Address
WAI POK VERNON CHAN DO
2651 E DISCOVERY PKWY
BLOOMINGTON, IN 47408-9059
Phone number: 812-676-4102
Mailing Address
WAI POK VERNON CHAN DO
250 N SHADELAND AVE
INDIANAPOLIS, IN 46219-4959
Phone number: